Skin Flashcards

1
Q

What variations can you have in the Macroscopic structure of skin?

A
Colour
Hair
Thickness
Wrinkling
Oiliness
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2
Q

Define Vitiligo

A

A depigmentation of skin

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3
Q

Name some autoimmune responses that lead to hair loss

A

Alopecia areata

Alopecia totalis

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4
Q

What are the different layers of the Epidermis?

A

Horny layer
Granular layer
Prickle cell layer
Basal layer

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5
Q

Where does Keratinocyte mitosis mainly occur?

A

Basal layer

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6
Q

Where does terminal differentiation begin?

A

In the Prickle cell layer (Keratinocytes loose their ability to divide)

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7
Q

What do Keratinocytes synthesise?

A

Keratins. Heterodimeric fibrous proteins - contribute to the strength of the epidermis

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8
Q

What happens to Keratinocytes in the Granular layer?

A

Lose their plasma membrane

Begin differentiating to corneocytes

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9
Q

What does the Granular layer contain?

A

Keratohyalin granules (Made of Keratins, fibrous proteins, enzymes)

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10
Q

What is the Horny layer (Stratum Corneum) made of?

A

Layers of flattened corneocytes (Major barrier function)

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11
Q

Where are Melanocytes?

A

In the Basal layer of the Epidermis (Dendric cells of Neural crest origin)

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12
Q

What do Melanocytes make?

A

Melanin which creates pigmentation of the skin

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13
Q

Where are Langerhan’s cells?

A

In the Prickle cell layer of the Epidermis (Dendric cells of bone marrow origin)

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14
Q

What do Langerhan’s cells do?

A

Highly specialised capacity to present antigens to T lymphocytes
Mediate immune reactions

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15
Q

What type of tissue makes the Dermis?

A

Dense irregular connective tissue - Fibroblasts and extra cellular matrix (Contains Collagens and Elastins)

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16
Q

How are blood vessels distributed in the Dermis?

A

Few smaller ones in the more superficial layers of the Dermis, then thicker and more in the deeper layers of the Dermis

17
Q

Where are Mast cells?

A

In the Dermis

18
Q

What do Mast cells do?

A

Contain Histamine which they release to cause increased vascular permeability - causes local oedema (Can have negative effects if by respiratory tract)

19
Q

What are the Skin Appendages?

A

Hair follicles & Sebaceous glands

Sweat glands

20
Q

What type of secretion do Sebaceous glands exhibit?

A

Holocrine

21
Q

What are the types of sweat glands?

A

Apocrine

Eccrine

22
Q

Which sweat gland is usually involved in Thermoregulation?

A

Eccrine

23
Q

What do Apocrine sweat glands do?

A

No function of value

Produce odourless, protein-rich, apocrine secretion. Digestion of this by Cutaneous microbes produces body odour

24
Q

What lies deep to the Dermis?

A

Subcutaneous fat

25
Q

What are the main functions of the skin?

A

Barrier
Sensory
Thermoregulation
Psychosexual communication

26
Q

Define Psoriasis

A

Extreme proliferation of the epidermal basal layer, causing gross thickening of the prickle cell layer and production of excessive stratum corneum – this manifests clinically as excessive scaling

27
Q

Define Malignant Melanoma

A

Aggressive malignant neoplasm of melanocytes - common primary site is skin. Retention of tumour cells above the epidermal basement membrane is associated with a good prognosis